| NPI | 1881854883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD.204911) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A119801) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-06-22 |