NPI | 1295927945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD435328) |
Additional Taxonomies | 207N00000X Dermatology (Licence: DE C1-0010159) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: DE C10010159) | |
208000000X Pediatrics (Licence: PA MD435328) | |
208000000X Pediatrics (Licence: PA MT188044) | |
Enumeration Date | 2007-08-16 |
Last Update Date | 2021-06-24 |