| NPI | 1316923881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME104320) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101049300) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2024-05-21 |