| NPI | 1467493163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G86148) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD423494) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-12-04 |