| NPI | 1427518166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148499) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.250171) |
| 208000000X Pediatrics (Licence: MO 2019019207) | |
| 208000000X Pediatrics (Licence: KS 94-09953) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-08-21 |