| NPI | 1609865427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME143043) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME143043) |
| 208000000X Pediatrics (Licence: CO 44721) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2024-07-26 |