| NPI | 1952508822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 29214) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2007018072) |
| 207ND0900X Dermatology Dermatopathology (Licence: AL 29214) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2014-05-05 |