| NPI | 1023086899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 031202) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 74873) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-03-26 |