| NPI | 1326129503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301073167) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301073167) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-02-05 |