| NPI | 1720430218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0073491) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 34.016445) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2024-06-09 |