| NPI | 1932698727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.016036) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5151009316) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-07-20 |