| NPI | 1699187575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD19816) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 274944) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2025-06-26 |