| NPI | 1023134756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX F8647) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01028675A) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-06-27 |