| NPI | 1295726891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD422146) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD422146) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2025-05-12 |