| NPI | 1124081849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E3069) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AR BH7561409) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-09-22 |