| NPI | 1558528406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 20474) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MT 91008) |
| 207N00000X Dermatology (Licence: VT 042.0016470) | |
| 207N00000X Dermatology (Licence: CO CDR.0001708) | |
| 207N00000X Dermatology (Licence: WA MD61019355) | |
| 207N00000X Dermatology (Licence: TX N9865) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-11-14 |