NPI | 1710187224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: SC 37328) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190407) |
207N00000X Dermatology (Licence: SC 37328) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2020-10-22 |