| NPI | 1225126659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 8766) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VT 042-0008547) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-12-05 |