| NPI | 1518924299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-078847) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX L8449) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-13 |