| NPI | 1982040804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CO DR.0066190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204388) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2021-09-23 |