| NPI | 1023279346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A127822) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX P3130) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2019-09-30 |