| NPI | 1780803098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 061214) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 61214) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-06-09 |