| NPI | 1700821667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD 15383) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A84024) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-08-26 |