| NPI | 1649247115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX H5709) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX H5709) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-10-13 |