| NPI | 1093906620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX M9472) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX M9472) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-04-03 |