| NPI | 1811343361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D98884) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 283008) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-02-23 |