| NPI | 1023069929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 36986) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 30557) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IA 36986) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-01-23 |