| NPI | 1396107579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 20385) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 6155) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-07-27 |