| NPI | 1952750267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX S2738) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX S2738) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-07-26 |