| NPI | 1942230859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A90945) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A90945) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-02-15 |