| NPI | 1568598308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C193459) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 232069) |
| 207N00000X Dermatology (Licence: MA L-220854) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-01-31 |