| NPI | 1447347877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C022961) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA C22961) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-23 |