| NPI | 1467712356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-18853) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI LP02476) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-07-13 |