| NPI | 1477707164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 18299) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 237577) |
| Enumeration Date | 2008-11-08 |
| Last Update Date | 2023-06-29 |