| NPI | 1336173285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX L9142) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A66191) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |