| NPI | 1477848091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10037341) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX P5378) |
| 207N00000X Dermatology (Licence: TX P5378) | |
| 208000000X Pediatrics (Licence: TX P5378) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2025-11-04 |