| NPI | 1003389875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM 544355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 54435) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-01-21 |