| NPI | 1013228725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A104443) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N6796) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-11-02 |