| NPI | 1407060056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.28260) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2005018580) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-01-10 |