| NPI | 1114487246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS023624) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS20055) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2025-12-12 |