| NPI | 1811154057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0069907) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD035598) |
| 207N00000X Dermatology (Licence: VA 0101249291) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-05-17 |