| NPI | 1790736312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 22838) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: SC 22838) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: SC 22838) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-09-22 |