| NPI | 1508988742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NC 2009-01325) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: WV 22380) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-02-07 |