| NPI | 1649307406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 239656) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ME MD24567) |
| 207ND0900X Dermatology Dermatopathology (Licence: MA 239656) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-04-13 |