| NPI | 1821350521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 58026) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL 34851) |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2020-08-13 |