| NPI | 1407350903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MT 163967) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX BP10066840) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-11-24 |