| NPI | 1235227000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL me104381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10056) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-06-24 |