| NPI | 1780902833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35124386) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35124386) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2022-09-07 |