| NPI | 1467658393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 059337) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 059337) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-07-01 |