| NPI | 1972682664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 7012) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G072603) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-01-28 |