| NPI | 1659869956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME169877) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME169877) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-08-11 |