| NPI | 1730475633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-21157) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A133947) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-12-31 |