| NPI | 1487677001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX K7865) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD.15610R) |
| 207N00000X Dermatology (Licence: CA C54003) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-06-13 |