| NPI | 1114994068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.006998) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NV 1132) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |