| NPI | 1750597654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD432113) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DE C1-0008613) |
| 207N00000X Dermatology (Licence: PA MT181819) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2026-01-12 |