| NPI | 1548304314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 102766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 102766) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-03-03 |