| NPI | 1346565124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2005-00473) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD463287) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-10-22 |