NPI | 1598179277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 5101027178) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS16334) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2025-08-06 |