| NPI | 1619222429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 55650) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A119551) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-08-07 |