| NPI | 1588677058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME76473) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME76473) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-06-26 |