| NPI | 1952483828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34008833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34008833) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-02-25 |