| NPI | 1437110640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 31282) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 69941-20) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-10-04 |