| NPI | 1861671505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0061245) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0061245) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-08-10 |