| NPI | 1235338500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 149434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL29809) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-01-08 |