| NPI | 1740275312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME086686) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: FL ME086686) |
| 208000000X Pediatrics (Licence: FL ME86686) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-08-20 |