| NPI | 1225230915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN 56555) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX N9400) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-03-17 |