| NPI | 1952729774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 83317-20) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME136386) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2024-05-23 |