| NPI | 1841498391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 48901) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM MD2016-0211) |
| 207N00000X Dermatology (Licence: IA 38037) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2021-10-22 |