NPI | 1750544151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: TX M8748) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX M8748) |
207NP0225X Dermatology Pediatric Dermatology (Licence: CO DR.0053176) | |
208000000X Pediatrics (Licence: TX M8748) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2020-03-28 |