| NPI | 1649614769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME177762) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX R7501) |
| 207ZD0900X Pathology, Dermatopathology (Licence: TX R7501) | |
| 207N00000X Dermatology (Licence: FL ME177762) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2026-03-18 |