| NPI | 1407837370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD039455E) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD-039455E) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-03-18 |