| NPI | 1386263440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A204289) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301512697) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-08-11 |