| NPI | 1861689283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35099853) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35099853) |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2014-01-07 |