| NPI | 1487603759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G24961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G24961) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2008-07-23 |