| NPI | 1992863518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0071585) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX R7724) |
| 207N00000X Dermatology (Licence: WA MD60600179) | |
| 207N00000X Dermatology (Licence: FL ME58935) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-05-06 |