| NPI | 1730280231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0110224602) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD 32173) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |