| NPI | 1275895666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2016-00343) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101259854) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-08-12 |