| NPI | 1477704856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A102391) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A102391) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2020-11-11 |