| NPI | 1558315481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101225823) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: VA 0101225823) |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: VA 0101225823) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: VA 0101225823) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: VA 0101225823) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-08-07 |