| NPI | 1013231034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD204880) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA 204880) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2025-06-03 |