| NPI | 1174596951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CO 49108) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: ID M15214) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-08-10 |