| NPI | 1427081025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-5842) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX M2205) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-07-11 |