| NPI | 1831352418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0060211) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME108361) |
| 207N00000X Dermatology (Licence: OR MD171107) | |
| 207N00000X Dermatology (Licence: NM MD2017-0862) | |
| 207N00000X Dermatology (Licence: CA C156843) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-01-16 |