| NPI | 1982641726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A39411) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: CA A39411) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-04-12 |