| NPI | 1467788398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 25469) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 17658) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2021-04-27 |