| NPI | 1881377612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 57.253116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151701) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2026-01-28 |