| NPI | 1447205190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 75461) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 75461) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-06-22 |