| NPI | 1073950689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME127579) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME125579) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2023-03-28 |