| NPI | 1962437590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0039545) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0039545) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-12-07 |