| NPI | 1487049961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2019-01468) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 263846) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-10-26 |