| NPI | 1669932695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN 70899) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 70899) |
| 207N00000X Dermatology (Licence: MN 73690) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-08-28 |