| NPI | 1720130941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101235583) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A62827) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-09-11 |