| NPI | 1700248291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA MD-49848) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 69198) |
| 207N00000X Dermatology (Licence: WI 70096) | |
| 207ND0900X Dermatology Dermatopathology (Licence: IA MD-49848) | |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: IA MD-49848) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: IA MD-49848) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: IA MD-49848) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-08-18 |