| NPI | 1457581019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 49128) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01072275a) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2015-11-06 |