| NPI | 1851507073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TN 42115) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 42115) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-03-07 |