| NPI | 1760844971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 290374) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 290374) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2023-05-31 |