| NPI | 1457319956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MO 101950) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: KS 04-27263) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-06-29 |