| NPI | 1801090394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 44284) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01069644A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-07-17 |