| NPI | 1659348746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 9800627) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN MD34201) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-08-09 |