| NPI | 1174910046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A16330) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL uo4143) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2022-02-11 |