| NPI | 1487675898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX L8864) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A87643) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-02-17 |