| NPI | 1376614669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS17127) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS9893) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2023-09-05 |