| NPI | 1285653584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX j1878) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J1878) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-03-24 |