| NPI | 1245338342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL LL-909) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 13878) |
| 207N00000X Dermatology (Licence: NC 30465) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-02-18 |