| NPI | 1720314248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 072367) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: GA T.L. No. 14-018) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2021-01-12 |