| NPI | 1003445610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A184805) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA PTL5997) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-04-02 |