| NPI | 1043765134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 13646775-1205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD200507) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-05-16 |