| NPI | 1902838006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2007-00625) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A81542) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-10-25 |