| NPI | 1285862987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.121699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO T2009017005) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-07-16 |