| NPI | 1427893767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA l9920) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |