| NPI | 1881911204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME110933) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL MD.35183) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2020-10-12 |