| NPI | 1316941644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 044218) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 044218) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 044218) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-05-07 |