| NPI | 1053488981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA G41069) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G41069) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-01-28 |