| NPI | 1386706091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS17072) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 20A7371) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2021-02-03 |