| NPI | 1619168846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD.202130) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM MD2016-0964) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-04-06 |