| NPI | 1851585384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NC 2022-02326) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD443696) |
| 207N00000X Dermatology (Licence: MD D82013) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: PA MD443696) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MD D0082013) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-12-14 |