| NPI | 1083811335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2012011155) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MO 2012011155) |
| 207N00000X Dermatology (Licence: WI 55084) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-03-07 |