| NPI | 1295027977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2015-00433) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME123414) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2019-10-16 |