| NPI | 1043245046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 14048) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101051160) |
| 207N00000X Dermatology (Licence: MA 235341) | |
| 207N00000X Dermatology (Licence: ME 017869) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-21 |