| NPI | 1851652770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD457211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252075) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-03-06 |