| NPI | 1508995390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN 52576) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX N1229) |
| 208000000X Pediatrics (Licence: TX N1229) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-11-03 |