| NPI | 1043207442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200700631) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PR 8329) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2021-04-08 |