| NPI | 1578881041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301108544) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NH 16782) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2015-08-04 |