| NPI | 1265648299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301088557) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01079479A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-11-16 |