| NPI | 1043276439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR A01546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01546ANP) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-09-08 |