| NPI | 1023443918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0056148) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A127343) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-08-21 |