| NPI | 1154364503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 2988) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX J5948) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-02-16 |