| NPI | 1538521521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 74986) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: WI 74986) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-06-03 |