| NPI | 1841401254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.095309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011706) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-09-26 |