| NPI | 1548471071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: TN 69764) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL MD37771) |
| 207ND0900X Dermatology Dermatopathology (Licence: AL MD.37771) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-01-12 |