| NPI | 1881967347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2012004443) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MO 2012004443) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2021-08-05 |