| NPI | 1265069207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-51574) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2021023797) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-26 |