| NPI | 1821356759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: MO 2017005188) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2017005188) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2022-09-14 |