| NPI | 1386616456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI DO000716) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 47753) |
| 208D00000X General Practice (Licence: VA 0102201192) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-10-15 |