| NPI | 1467555813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 41615) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX H5747) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-06-27 |