| NPI | 1285911453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A136066) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: CA A136066) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2019-11-19 |