| NPI | 1548437270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD2018-0445) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 39053) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-10-23 |