| NPI | 1023288495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD439500) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A101617) |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2010-08-18 |