| NPI | 1477058303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME158010) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 95229) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-02-28 |