| NPI | 1194252254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 65932) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 29008) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2020-08-25 |