| NPI | 1942356548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C131378) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 62961) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-08-19 |