| NPI | 1558535351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0073304) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: DC MD040173) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2016-12-07 |