| NPI | 1831239250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101230540) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0053142) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-02-23 |