| NPI | 1326281353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WA MD60506703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A106743) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2023-03-07 |