| NPI | 1467772533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: CA A131668) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A131668) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2022-06-27 |