| NPI | 1699430934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MO 2024049204) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 75808-20) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2025-05-27 |