| NPI | 1144396342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200100287) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 20010287) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-10-13 |