| NPI | 1184015984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 81655-20) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 7327) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2023-08-08 |