| NPI | 1578770251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD436467) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA mt185648) |
| 207ND0900X Dermatology, Dermatopathology (Licence: AL MD.36319) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-07-21 |