| NPI | 1598297962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D96565) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: MD D96565) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-10-16 |