| NPI | 1528324670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301101125) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2016018715) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MO 2016018715) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-10-24 |