| NPI | 1720267560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 025591) |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA MD025591) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2023-09-19 |