| NPI | 1902976921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 23278) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA 023278) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-12-27 |