| NPI | 1871500231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MS 19576) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AR E4404) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-08-01 |