| NPI | 1992025381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD466653) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI MD14704) |
| 207N00000X Dermatology (Licence: MA 258397) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-04-13 |