| NPI | 1831394311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NH 16675) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OR MD154348) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-02-20 |