| NPI | 1366634206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD039055) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D77053) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2018-01-04 |