| NPI | 1225089493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00035157) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A80238) |
| 207N00000X Dermatology (Licence: PA MD428414) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-07-02 |