| NPI | 1265691398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD200001351) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0092652) |
| 207N00000X Dermatology (Licence: VA 0101273306) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-08-07 |