| NPI | 1255301412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101246626) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D70346) |
| 207N00000X Dermatology (Licence: DC MD038619) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2021-06-26 |