| NPI | 1083694087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2006009409) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 44829) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-05-27 |