| NPI | 1265812184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022009588) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022009588) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-04-25 |