| NPI | 1144389586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 29784) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 062913) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-01-29 |