| NPI | 1902254501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX S6613) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX S6613) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-10-23 |