| NPI | 1386859254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: KS 04-33848) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MO 2009013462) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2022-02-09 |