| NPI | 1740449719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME127249) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N3566) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-12-03 |