| NPI | 1770682296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 33097) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 33097) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-03-07 |