| NPI | 1366520447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A92007) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2011-00845) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-02-28 |