| NPI | 1306283411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.45230) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR 186828) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-04-24 |