| NPI | 1770796708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A119802) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 40609) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A119802) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: PA MD444035) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-05-29 |