| NPI | 1932526209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME145103) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 59840) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-07-09 |