| NPI | 1669465951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A78688) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A78688) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-07-13 |