| NPI | 1558561563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 00G533740) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA 00G533740) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 00G533740) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 00G533740) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-09-27 |