| NPI | 1639530942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A163594) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE 9282) |
| 208000000X Pediatrics (Licence: CA A163594) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2026-03-30 |