| NPI | 1285611525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 13534) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX H2877) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2016-02-17 |