| NPI | 1386087617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX T5273) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX 573272) |
| 207N00000X Dermatology (Licence: CA A134007) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-11-07 |