NPI | 1841275377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 31241) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 33053) |
208000000X Pediatrics (Licence: MN 31241) | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2023-05-03 |