| NPI | 1033559646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 273077) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0058536) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-11-11 |