| NPI | 1164748737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A96405) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A96405) |
| 208D00000X General Practice (Licence: CA A96405) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |