| NPI | 1053654053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2022-01049) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC 37246) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-10-16 |