| NPI | 1518971142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 30431) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: KY 30431) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-07-17 |