| NPI | 1578745188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-15536) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX M7771) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-05-12 |