| NPI | 1538487392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 257322) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA L-243640) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2020-11-13 |