| NPI | 1689646093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 46882) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 46882) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-21 |