| NPI | 1457418410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00045494) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WA MD00045494) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-04-29 |