| NPI | 1457331084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35089060) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35089060) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-02-15 |