| NPI | 1447408869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 41154) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 20120090151) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2013-09-06 |