| NPI | 1346470143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.56778) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: CO DR.56778) |
| 208000000X Pediatrics (Licence: CO DR.56778) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2016-07-13 |