| NPI | 1932338746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2014028853) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A126772) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-10-03 |