| NPI | 1689105876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: WV 31742) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WV 31742) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-02-18 |