| NPI | 1386639938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME58492) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 35072) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME58492) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN MD35072) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-02-16 |