| NPI | 1982863510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P5084) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX P5084) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-02-08 |