| NPI | 1588002273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 273502) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 255710) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-11-17 |