| NPI | 1538308242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ND 12744) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: AZ R1712) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2013-11-22 |