| NPI | 1376646638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 50447) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-07-21 |