| NPI | 1679954853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI LP03690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264225) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2016-07-28 |