| NPI | 1982100293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 1018030) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI LP05115) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-02-23 |