| NPI | 1639197288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0071046) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME0071046) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-02-12 |