| NPI | 1134189053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01069131A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI LH044277) |
| 207N00000X Dermatology (Licence: CA G53699) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-06-01 |