| NPI | 1285700518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101043531) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0042006) |
| 207N00000X Dermatology (Licence: DC MD17831) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |