| NPI | 1114183464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A9765) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS10211) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-11-10 |