| NPI | 1942480488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 49632) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 67584) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-04-23 |