| NPI | 1194352138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 86061) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 1018824) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-10-13 |