| NPI | 1184891871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS014151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014151) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-12-12 |