| NPI | 1730359118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A124118) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57-003911) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2024-04-16 |