| NPI | 1134183718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME79598) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 044232) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-03-12 |