| NPI | 1811259443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD457752) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DE C1-0011777) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-12-06 |