| NPI | 1306080932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 51308) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 078299) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2025-10-16 |