| NPI | 1053750240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A914243) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A91423) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-04-01 |