| NPI | 1568544518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301057369) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301057369) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-04-22 |