| NPI | 1700816162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME90217) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME90217) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-30 |