| NPI | 1306912464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA NP11828) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 11828) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-01-30 |