| NPI | 1194927764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DE C1-0009750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003802) |
| 207N00000X Dermatology (Licence: PA MT193355) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2011-08-12 |