| NPI | 1386963536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 58018) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 40182) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-07-30 |