| NPI | 1760703730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 27886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27886) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2017-07-14 |