| NPI | 1659338705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD d0066528) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A87191) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-08-17 |