| NPI | 1710432828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS16484) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101023726) |
| 207N00000X Dermatology (Licence: NC 226043) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2025-02-04 |