| NPI | 1467429274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 154154) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 154154) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-03-01 |