| NPI | 1255418265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD224105) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A52958) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-08-04 |