| NPI | 1710127253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: OH 35.131912) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.131912) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2024-07-09 |