| NPI | 1326126814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00027715) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G87622) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-04-11 |