| NPI | 1881915148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 274428) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 274428) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-04-30 |