| NPI | 1730522434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.013027) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 04308) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-10-21 |