| NPI | 1669818589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: DC MD210002486) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD463986) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: SC 83016) | |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2022-10-04 |