| NPI | 1366461709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35-006393) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35-006393) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 34.006393) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-02-11 |