| NPI | 1154302826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2010-01075) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME93940) |
| 207N00000X Dermatology (Licence: MD D59888) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-08-03 |