| NPI | 1437318607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: RI MD16532) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: ME MD20201) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-03-06 |