| NPI | 1194772822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G83149) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 154016) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-08-17 |