| 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 |