| NPI | 1912297490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.126160) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35126160) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2025-11-14 |