| NPI | 1043370976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME136018) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 1024303) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-07-22 |