| NPI | 1972743052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM 80-233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 80-233) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |