| NPI | 1508027897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MO 2012011931) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2012011931) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-07-02 |