| NPI | 1366454423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G86681) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: HI 10836) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-05-24 |