| NPI | 1669836276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 12091) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: SD 12091) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2022-04-28 |