| NPI | 1386754307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 7571) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2006012197) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-15 |