| NPI | 1528063393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-16572) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD026358E) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-05-12 |