| NPI | 1295955797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 55633) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2007029454) |
| 207N00000X Dermatology (Licence: KY 43673) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-05-19 |