| NPI | 1700106374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: MD D0082338) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: VA 0101261294) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2016-10-20 |