| NPI | 1700972163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 7900) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: SC 7900) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-07-01 |