| NPI | 1083470066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 2333) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 6755) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-11-03 |