| NPI | 1871709147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 47948) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CT 47948) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-04-20 |