| NPI | 1265725352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD454022) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DE C1-0011295) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-06-27 |