| NPI | 1437319423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60546990) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101254341) |
| 207ND0900X Dermatology, Dermatopathology (Licence: WA MD60546990) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-06-08 |