| NPI | 1497286033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC md210002446) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD d94374) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-06-16 |