| NPI | 1962418673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 50226) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 53513) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-02-09 |