| NPI | 1942419759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 7265) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301086487) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-04-08 |