| NPI | 1528405586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.012727) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OH 34.012727) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-04-05 |