| NPI | 1225152374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA MD-37357) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA R-7829) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-06-30 |