| NPI | 1124036447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX M4719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M4719) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX 41420) | |
| 207N00000X Dermatology (Licence: TX M4719) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-05-18 |