| NPI | 1861668808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD205281) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 01297) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: LA MD.205281) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-09-16 |