| NPI | 1609216993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.056873) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: OH 35.056873) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |