| NPI | 1235498346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD457514) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD457514) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-07-21 |