| NPI | 1306423892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: MN 72187) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 72187) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-07-03 |