| NPI | 1932105764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD012675E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD012675E) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-01-13 |