| NPI | 1861483018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 75274) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 75274) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2014-07-24 |