| NPI | 1528057940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 9703) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 159006) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-03 |