| NPI | 1982165965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME162452) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 162452) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2025-05-05 |