| 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 |