| NPI | 1174614366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 34499) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036-097150) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |