| NPI | 1598803355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-095941) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD T0917) |
| 207N00000X Dermatology (Licence: MD D69261) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-03-18 |