| NPI | 1639119175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2006031051) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MO 2006031051) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-01-19 |