| NPI | 1912139825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: DC MD042625) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD042625) |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: MD D75385) | |
| 207N00000X Dermatology (Licence: MD D75385) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2014-10-16 |