| NPI | 1912107970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A113306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A113306) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-03-17 |