| NPI | 1285727636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C202787) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 40553) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2025-12-09 |