| NPI | 1376532895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS7718) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS7718) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-09-28 |