| NPI | 1528254901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A80338) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 6026955-1205) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2022-12-22 |