| NPI | 1619264660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: IN 01081840A) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD453788) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-11-09 |