| NPI | 1851390660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101251750) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101251750) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-11-27 |