| NPI | 1992786347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 129874) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME82439) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME82439) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA 129874) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2014-08-13 |