| NPI | 1538228739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 175248) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX K6996) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-04-12 |