| NPI | 1396273215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME146005) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2018-02230) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-05-02 |