| NPI | 1831389964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA G035270) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G035270) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-06-16 |