| NPI | 1891913372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 0056904) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY IP967) |
| 207N00000X Dermatology (Licence: KY 42464) | |
| 207N00000X Dermatology (Licence: IN 01067334A) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-01-27 |