| NPI | 1730274267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 026407) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD026407) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-01 |