| NPI | 1942318209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 044674) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2013-01906) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2017-02-01 |