| NPI | 1558577957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A104211) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A104211) |
| 208000000X Pediatrics (Licence: CA A104211) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-11-29 |