| NPI | 1598974503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 60121) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301083750) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-03-20 |