| NPI | 1043336126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA PA16086) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM PA2008-0007) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-07 |