| NPI | 1336125517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NE 35567) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 36205) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-08-06 |