| NPI | 1518321074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61174242) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WA MD61174242) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2026-04-10 |