| NPI | 1114999000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 76647) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G81270) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-11-30 |