| NPI | 1922114974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 042437) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 42437) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: GA 42437) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-01-10 |