| NPI | 1851505077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.089582) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: GA 061526) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-01-14 |