| NPI | 1588912869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL me127292) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL L.3662F) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2021-03-22 |