| NPI | 1932101060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 67321-20) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WI 67321-20) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 67321-20) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: WI 67321-20) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-02-15 |