| NPI | 1295729051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 21537) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 043567) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-09-22 |