| NPI | 1356427728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A147681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240218) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2018-05-09 |