| NPI | 1285664623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD41232) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN MD41232) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 41232) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-03-10 |