| NPI | 1295784957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME124390) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PR 14868) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-08-11 |