| NPI | 1073174991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS022986) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 009286) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2025-02-19 |