| NPI | 1508964529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0062909) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101048850) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-03-15 |