| NPI | 1730599473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 18468) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 275622) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2024-01-31 |