| NPI | 1841200466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.068727) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35-068727) |
| 207N00000X Dermatology (Licence: KY 31630) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-01-03 |