| NPI | 1235633637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD481957) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA 481957) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-01-09 |