| NPI | 1215163217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 18369) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A108158) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2018-10-25 |