| NPI | 1871908228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 101975) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2018-00236) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-08-30 |