| NPI | 1003317744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA DO.OP.70058858) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ME DO2964) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2026-08-31 |