| NPI | 1407296825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 25154) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA PGY.202580) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2023-09-19 |