| NPI | 1780605204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD061481L) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD061481L) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-07-21 |