| NPI | 1750729307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 18999) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 269812) |
| 208000000X Pediatrics (Licence: MA L-255391) | |
| 208000000X Pediatrics (Licence: NH 18999) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-10-04 |