| NPI | 1427581784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD473836) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 64140) |
| 207N00000X Dermatology (Licence: MN 28972) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-12-21 |