| NPI | 1750874509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 101920) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 161962) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-11-05 |