| NPI | 1659578581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D66351) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD036195) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-10-25 |