| NPI | 1134321037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 065765) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 065765) |
| 207N00000X Dermatology (Licence: GA 065765) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2022-06-24 |