| NPI | 1417303488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 218006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 218006) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-06-24 |