| NPI | 1477671899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.093108) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD430646) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-02-25 |