| NPI | 1700895018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A70557) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A70557) |
| 208000000X Pediatrics (Licence: CA A70557) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-12-01 |