| NPI | 1942305933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101240618) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0078573) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-12-02 |