| NPI | 1073589925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 39757) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: TN 39757) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TN 39757) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-02-28 |