| NPI | 1134784168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 187371) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 187371) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2024-09-04 |