| NPI | 1790215655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: SC 41132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL41132) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-08-15 |