| NPI | 1891349403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 017377) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A165263) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2022-09-12 |