| NPI | 1841429206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 055128) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KS 94-07195) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2018-05-08 |