| NPI | 1134170855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ID M-9342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M9342) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-01-22 |