| NPI | 1841459724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 096851) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 11013813A) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-07-06 |