| NPI | 1750726766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101270297) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD045419) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-04-16 |