| NPI | 1013022292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 53126) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35068734) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |