| NPI | 1861547531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD441280) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 262200) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-05-20 |