| NPI | 1437350709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C168169) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 997612) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-09-22 |