| NPI | 1275521114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0047069) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0047069) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2015-10-26 |