| NPI | 1568824183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A151865) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A151865) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-11-18 |