| NPI | 1427250935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 89404) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MS 19783) |
| 207N00000X Dermatology (Licence: AL 30934) | |
| 208000000X Pediatrics (Licence: MS 19783) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-06-20 |