NPI | 1962634808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 53117) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 53117) |
208000000X Pediatrics (Licence: MN 53117) | |
Enumeration Date | 2009-08-11 |
Last Update Date | 2020-08-21 |