| NPI | 1225443419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CO DR.0062306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014029936) |
| 207N00000X Dermatology (Licence: TX BP10057163) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 67602) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-09-03 |