| NPI | 1205039922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD039443) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0070481) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-21 |