| NPI | 1588646608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VT 042.0006820) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 159392) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-02-09 |