| NPI | 1528562956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 77736-20) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 71500) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-04-10 |