| NPI | 1275604043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 34586) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD272298) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-10-16 |