| NPI | 1184846529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A102012) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A102012) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-08-29 |