| NPI | 1356426829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: UT 2752851205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 2752851205) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 2752851205) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-12-20 |