| NPI | 1235142266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J4627) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX J4627) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-09 |