| NPI | 1427270966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q0520) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2005-01823) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-05-07 |