| NPI | 1962558247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6425) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX P6425) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-09-12 |