| NPI | 1023278504 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A114457)  | 
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 11013338A)  | 
| 207N00000X Dermatology (Licence: IN 01069398A)  | |
| Enumeration Date | 2008-06-10 | 
| Last Update Date | 2024-05-01 |