| NPI | 1114182920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A112421) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 4649604 a138) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-07-29 |