| NPI | 1821119140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV DO1493) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI AS-2762032-274) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-05-12 |