| NPI | 1992090120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 54284) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 276308-1) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-09-19 |