| NPI | 1356315568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: AL MD00018343) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: AL MD00018343) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-03-31 |