| NPI | 1366547713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 49897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006013531) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-27 |