| NPI | 1699842310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G72020) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 73598-20) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-03-07 |