| NPI | 1134173040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35065712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.065712) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2016-01-22 |