| NPI | 1033144183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A98696) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OK 21969) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-08-13 |