| NPI | 1306460811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 400362) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 400362) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |