| NPI | 1295414563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 5018381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018381) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-11-07 |