| NPI | 1417167057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: FL ME88650) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A110104) |
| 207N00000X Dermatology (Licence: FL ME88650) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-03-10 |