| NPI | 1699407049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 37396) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 97728) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-02-16 |