| NPI | 1396703435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G38622) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G38622) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-09 |