| NPI | 1295727527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 034978) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 034978) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-07-19 |