| NPI | 1396308607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 26062) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 178951) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-01-24 |