| NPI | 1609219039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2019-00922) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D84894) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-07-17 |