| NPI | 1316200413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 33139) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC LL34736) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-10-28 |