| NPI | 1306101852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34016216) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS15099) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-04-05 |