| NPI | 1811082464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C157591) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01062566A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-08-30 |