| NPI | 1184663692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 29310) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 200400685) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-02-27 |