| NPI | 1124318720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX R7695) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX R7695) |
| 208000000X Pediatrics (Licence: TX R7695) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-07-24 |