| NPI | 1386783280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD.204409) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 37739) |
| 207N00000X Dermatology (Licence: OK 24471) | |
| 207N00000X Dermatology (Licence: NE 24598) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-05-07 |