| NPI | 1952519043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 57-012117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012117) |
| 207N00000X Dermatology (Licence: OH 57-012117) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2015-11-12 |