| NPI | 1801850854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA C55362) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA C55362) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 48924) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-04-16 |