| NPI | 1912952565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD16666) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0034478) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-12-06 |