| NPI | 1790147783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0063665) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CO DR.0063665) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-02-09 |