| NPI | 1669667366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD439027) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT191165) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2014-01-20 |