| NPI | 1508986662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NE 25042) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL RTP001764) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-07-21 |