| NPI | 1174705107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A9018) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101016735) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2020-10-06 |