| NPI | 1508886821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200000526) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 048434) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-03-12 |