| NPI | 1972044196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 310989) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 310989) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 310989) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-11-23 |