| NPI | 1275791352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 35306) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101249212) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-10-22 |