| NPI | 1275195901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.40464) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A73508) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-08-28 |