| NPI | 1174075303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: HI MD-24785) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A166454) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2025-05-29 |