| NPI | 1568877397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 006541) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ R2433) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2019-06-20 |