| NPI | 1265318380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA SPI931) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 2113) |
| 208000000X Pediatrics (Licence: CA SPI931) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2026-03-09 |