| NPI | 1376778795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N1146) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 00481) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2022-06-22 |