| NPI | 1720344575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.129105) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 129105) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-11-08 |