| NPI | 1740341486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101241553) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD036339) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-07-15 |