| NPI | 1558723619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI 4301502952) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301502952) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2025-03-05 |