| NPI | 1881775716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D33218) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0033218) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-10-17 |