| NPI | 1285644039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 044955) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI 11512) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-02-17 |