| NPI | 1467484014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 52913) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 37373) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-09 |