| NPI | 1265632194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-16031) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A96590) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2011-06-27 |