| NPI | 1437444288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD452178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199719) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-07-23 |