| NPI | 1811158835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 50895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18002) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-01-29 |