| NPI | 1922084441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 2126279) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 216498) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 216498) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101239978) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2023-09-29 |