| NPI | 1174715924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD29285) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: OR MD29285) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-12-14 |