| NPI | 1659632057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.34947) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101266970) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2019-08-05 |