| NPI | 1194150011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 222055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 222055) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-05-01 |