| NPI | 1558429621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: WI 54726) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A70743) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-10-10 |