| NPI | 1477992881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: VA 0102207964) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MD H0090997) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-08-18 |