| NPI | 1861705238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101255665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 060647014) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-03-24 |