| NPI | 1508397837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 33590) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 64937) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-09-26 |