| NPI | 1164626545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL os9272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9272) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS9272) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-06-14 |