| NPI | 1013981364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME81301) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101-226152) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-07-07 |