| NPI | 1932326253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: TX N6090) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 58.002039) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-05-18 |