| NPI | 1871542597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI KE015076) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI KE015076) |
| 207Q00000X Family Medicine (Licence: MI KE015076) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-03-07 |