| NPI | 1922138585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: MO 2006018026) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: KS 04-34671) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-09-06 |