| NPI | 1548340805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD05106L) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX K3244) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-02-14 |