| NPI | 1326257213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301083389) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N2611) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-07-26 |