| NPI | 1922244086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 1331) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1331) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2011-01-04 |