| NPI | 1962456772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 19503) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000019503) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-06-17 |