| NPI | 1083170252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NE 32868) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 32868) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-08-04 |