| NPI | 1619953056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 20422) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A124554) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-11-29 |