| NPI | 1508887167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD035730E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD035730E) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-03-06 |