| NPI | 1710117528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ID M-11847) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD60339026) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-03-19 |