| NPI | 1952383226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ND PT16859) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN MD56521) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2022-04-04 |