| NPI | 1275972432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2017039492) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013019941) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-10-05 |