| NPI | 1497984587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A126869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056546) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2016-08-30 |