| NPI | 1013530849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR PG215976) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA DO.OP.61660584) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-06-20 |