| NPI | 1346211505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AK 8102) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE 23558) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-09-14 |