| NPI | 1235664459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.46373) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MS T-3324) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-06-19 |