| NPI | 1437230786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00037807) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ID M-17188) |
| 207N00000X Dermatology (Licence: OR MD217733) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: WA MD00037807) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-03-19 |