NPI | 1992976716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 54976) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036120215) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2012-08-27 |