| NPI | 1245525393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD467432) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD200001398) |
| 207N00000X Dermatology (Licence: MD D0091888) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-04-21 |