| NPI | 1740442433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q7893) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL MA112549) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-05-19 |