| NPI | 1821227133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME127776) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013012520) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2016-10-23 |