| NPI | 1346332640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 75825) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MT 8071) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-02-12 |