| NPI | 1053601252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 41753) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD.205556) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2021-10-12 |