| NPI | 1801054150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 246861) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 246861) |
| 207N00000X Dermatology (Licence: NY 245646) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-04-01 |