| NPI | 1922260413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 75778) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD126318) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-09-12 |