| NPI | 1881949634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: KY 50546) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 266307) |
| 207R00000X Internal Medicine (Licence: IL 125061863) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-10-27 |