| NPI | 1245488444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 005682) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101017943) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-03-19 |