| NPI | 1053349688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA a100287) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME89945) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-10-25 |