| NPI | 1518159490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD438964) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD438964) |
| 207N00000X Dermatology (Licence: OH 35.091817) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.091817) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-05-20 |