| NPI | 1013231034 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD204880) | 
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA 204880) | 
| Enumeration Date | 2010-03-19 | 
| Last Update Date | 2025-06-03 |