| NPI | 1649375072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 11839) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 159113) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-10-18 |