| NPI | 1275567927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A86498) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 44336) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-08-29 |