| NPI | 1982937918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 18264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18264) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2016-09-12 |