| NPI | 1992753743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ME MD19205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 38774) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-06-18 |