| NPI | 1457449688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 32147) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: KY 32147) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: KY 32147) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-06-09 |