| NPI | 1760011480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TN 75288) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2024031775) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2025-08-05 |