| NPI | 1477992030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-20091) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI LP03174) |
| 207N00000X Dermatology (Licence: CO DR.0057857) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-10-26 |