| NPI | 1033252390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0071691) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD430963) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-09-23 |