| NPI | 1972636272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A92548) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A92548) |
| 207N00000X Dermatology (Licence: IA 37075) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-09-11 |