| NPI | 1992741011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101249489) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D72936) |
| 207N00000X Dermatology (Licence: DC MD039981) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-12-01 |