| NPI | 1538715990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD19302) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI LP05116) |
| 207N00000X Dermatology (Licence: MA 1015016) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-09-22 |