| 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 | 2022-05-12 |