| NPI | 1295996999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 265341) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD445240) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-12-07 |