| NPI | 1942688452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A18827) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101024519) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2021-07-28 |