| NPI | 1316365455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 57082) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA R-10193) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2019-02-12 |