| NPI | 1730135450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD4261114) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: PA MD426114) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-09-15 |