| NPI | 1316952823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-15553) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD22922) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-06-02 |