| NPI | 1033131610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 50088) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 50088) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-07-16 |