| NPI | 1346436052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD500002692) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD430770) |
| 207N00000X Dermatology (Licence: NH LT4029) | |
| 208000000X Pediatrics (Licence: PA MD430770) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-04-03 |