| NPI | 1073597324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-31231) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: KS 0431231) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2017-01-12 |