| NPI | 1326136540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 32396) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: KY 32396) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-05-07 |