| NPI | 1306871926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G69097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G69097) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-04-22 |