| NPI | 1073958021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2020016507) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A132579) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-01-12 |