| NPI | 1881222388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A195744) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 289491) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-07-09 |