| NPI | 1083804553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A118353) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD.200968) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-11-12 |