| NPI | 1407418924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0107744) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD225536) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2026-08-06 |