| NPI | 1144386335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 65411) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 47198) |
| 207N00000X Dermatology (Licence: CA C56046) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-05-18 |