| NPI | 1932152253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD044192) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D81419) |
| 207N00000X Dermatology (Licence: GA 68898) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-03-07 |