| NPI | 1467627745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: FL ME112462) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: FL ME112462) |
| 208D00000X General Practice (Licence: FL ME112462) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2013-06-27 |