| NPI | 1366837742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WV 27422) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0088192) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-05-16 |