| NPI | 1316272891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054078) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MA054078) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2023-04-27 |