| NPI | 1023429396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 38604) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.134863) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-02-01 |