| NPI | 1033647177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 12802) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA R-11289) |
| 207N00000X Dermatology (Licence: IA R-10928) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-08-09 |