| NPI | 1548478936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD46202) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301083436) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-02-17 |