| NPI | 1205347994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06647) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MD C0006647) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-12-22 |