| NPI | 1013366756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD471121) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT215272) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-10-19 |