| NPI | 1316245137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 7770247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15635) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2024-11-07 |