| NPI | 1710178173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD445744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232893) |
| 207N00000X Dermatology (Licence: DE C1-0010161) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-04-19 |