| NPI | 1922245471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 14534) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 239343) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NH 14534) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2017-10-18 |