| NPI | 1033570122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS17559) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 18195) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-09-27 |