| NPI | 1912134529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: RI MD15774) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI 15774) |
| 207N00000X Dermatology (Licence: MA 265523) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 265523) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: RI 15774) | |
| 208000000X Pediatrics (Licence: RI 15774) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-08-06 |