| NPI | 1184814188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS16266) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101017195) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2026-04-14 |