| NPI | 1891010773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 261712) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 43011097988) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2016-03-02 |