| NPI | 1710035332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101017529) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0102206169) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-02-06 |