| NPI | 1174947220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 65007) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101259069) |
| 208D00000X General Practice (Licence: VA 0101259069) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2023-02-28 |