| NPI | 1861567067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS008259L) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MB06665900) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-07-21 |