| NPI | 1720333990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-13343) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A127243) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2020-07-24 |