| NPI | 1427271170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR 152175) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A104070) |
| 207N00000X Dermatology (Licence: WA 44854) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-08-25 |