| NPI | 1992017230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.153526) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL MD.31345) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 263626) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: AL MD.31345) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2025-07-07 |