| NPI | 1669436952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MA 217360) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: AZ 37485) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NH 12960) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NV 11649) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 6291615) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CT 045886) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-03-06 |