| NPI | 1053554667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 51925) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CT 51925) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-04-17 |