| NPI | 1992228183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH ESTE-17064) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH ESTE-170641) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |