| NPI | 1750568200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D88261) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 247216) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2025-11-12 |