| NPI | 1386678381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VT 042.0013164) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301086785) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-09-22 |