| NPI | 1780727222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 238800) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 074335) |
| 207N00000X Dermatology (Licence: OH 35088850) | |
| 207N00000X Dermatology (Licence: IN 01085936A) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-11-29 |