| NPI | 1083234926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 34246) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA 341724) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-11-07 |