| NPI | 1609830736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D47273) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD 520595110) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-10-26 |