| NPI | 1972731933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 58884) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI EMC0003826) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2024-03-27 |