| NPI | 1326288721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME 102622) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME102622) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2021-03-29 |