| NPI | 1023262185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A137354) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 067449) |
| 207N00000X Dermatology (Licence: GA 004019) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-03-01 |