| NPI | 1841327822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00031070) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 35784) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-04-28 |