| NPI | 1568878361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME157619) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DE C1-0012840) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-09-24 |