| NPI | 1740694926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 69971) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2015014102) |
| 207N00000X Dermatology (Licence: HI MD-19678) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-02-21 |