| NPI | 1619134731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: DC MD042708) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0078695) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2014-12-17 |