| NPI | 1396060513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-22411) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A130839) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2022-08-30 |