| NPI | 1821550096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301511358) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MT221580) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-07-01 |