| NPI | 1992020549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2017-00657) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA mt200387) |
| 207N00000X Dermatology (Licence: TN MD50939) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2022-07-21 |