| NPI | 1447266796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200401086) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC 26801) |
| 207N00000X Dermatology (Licence: GA 40129) | |
| 207N00000X Dermatology (Licence: PA MD-045779-L) | |
| 207N00000X Dermatology (Licence: AL 16461) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-02-20 |