| NPI | 1093876443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01041675) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: IN 01041675) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |