| NPI | 1275761496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 254723) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 254723) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-06-02 |