| NPI | 1326244831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 63652) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2007018080) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-03-21 |