| NPI | 1255643490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2014025278) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301097029) |
| 207N00000X Dermatology (Licence: KS 04-37321) | |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2014-11-17 |