| NPI | 1124525043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR PA197140) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: HI 823) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2020-03-02 |