| NPI | 1811335573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD483346) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101270734) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-12-29 |