| NPI | 1992099022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A121963) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A121963) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-04-16 |