| NPI | 1083143226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 64345) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM MD2024-0120) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NM MD2024-0120) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2024-11-20 |