| NPI | 1235233743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A88507) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A88507) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-08-19 |