| NPI | 1366422099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01036464A) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME 015967) |
| 174400000X Specialist (Licence: OH 35050655) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-02-28 |