| NPI | 1538664438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A165811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A165811) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-11-28 |