| NPI | 1356870612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A171755) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: CA A171755) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-04-15 |