| NPI | 1427526086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 3111) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3111) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2025-03-24 |