| NPI | 1033644844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101286363) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 167441) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2026-01-08 |