| NPI | 1013698323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 80522) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 34945) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-07-23 |