NPI | 1427678085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351049806) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.248777) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2024-10-09 |