| NPI | 1265616361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 51429) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A132548) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2014-12-04 |