| NPI | 1093020133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.012984) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 006424) |
| 208D00000X General Practice (Licence: FL UO2494) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2020-02-18 |