| NPI | 1831171842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A37025) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A37025) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-05-24 |