NPI | 1396373130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35.153936) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A191805) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2025-09-10 |