| NPI | 1477505386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 35456-20) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: WI 35456) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-13 |