| NPI | 1497082929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 073353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO 2158) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2016-01-29 |